Question 1

How can I lower the cost of my imipramine

Accepted Answer

You can lower cost of your imipramine using one of the 4 following drug savings programs: Rx Advantage Card for imipramine, Canadian Prescription Savings for imipramine, imipramine Drug Coupons, imipramine Patient Assistance Programs

Question 2

What dosages is imipramine available in?

Accepted Answer

imipramine is available as a 25 mg and 50 mg oral capsule.

Question 3

What is imipramine used for?

Accepted Answer

imipramine is a tricyclic antidepressant that is used to treat:  Depression Bedwetting in children (imipramine hydrochloride only)

Question 4

How does imipramine work?

Accepted Answer

imipramine is a tricyclic antidepressant (TCA). The exact way it works isn’t known. For depression, imipramine is thought to work by raising the levels of serotonin and norepinephrine chemicals in your brain; these chemicals are involved with regulating mood. For bedwetting, the medication is thought to allow the bladder to hold more urine.

Question 5

How do I take imipramine?

Accepted Answer

The total daily dose of imipramine is either split up into several smaller doses throughout the day or taken as a single dose before bedtime. Your provider will adjust your dosage based on how well it’s helping your symptoms and whether you’re having side effects.

Question 6

Is it safe for me to take imipramine?

Accepted Answer

imipramine is a safe and effective treatment when used for FDA licensed indications. However, like all medications, they may give you unwanted side effects. You should always discuss potential side effects with your physician to ensure the medication is suitable and right for you. The concomitant use of monoamine oxidase inhibiting compounds is contraindicated. Hyperpyretic crises or severe convulsive
seizures may occur in patients receiving such combinations. The potentiation of adverse effects can be serious, or even fatal. When it is desired to substitute Imipramine Hydrochloride Tablets USP in patients receiving a monoamine oxidase inhibitor, as long an page 2 of 10 interval should elapse as the clinical situation will allow, with a minimum of 14 days. Initial dosage should be low and increases should be gradual and cautiously prescribed. The drug is contraindicated during the acute recovery period after a myocardial infarction. Patients with a known hypersensitivity to this compound should not be given the drug. The possibility of cross-sensitivity to other dibenzazepine compounds should be kept in mind.

Question 7

imipramine Common Side Effects

Accepted Answer

Common side effects of imipramine:  Dry mouth Blurry vision Nausea Vomiting Constipation Sleepiness Dizziness Confusion Anxiety Restlessness

Question 8

imipramine Serious Side Effects

Accepted Answer

Serious side effects are rare with imipramine. Contact your healthcare provider immediately if you experience any of the following.  Suicidal thoughts or behaviors Heart attack: chest pain, cold sweats, left arm pain, trouble breathing Stroke: sudden numbness, weakness, confusion, trouble talking Serious allergic reaction: difficulty breathing, hives, itching, fast heartbeat, tightness in the throat, dizziness, swelling in the face or tongue

Question 9

Effects of other drugs, drug classes and over-the-counter products on imipramine

Accepted Answer

The following medications may interact with imipramine:  Concomitant use of tricyclic antidepressants with drugs that can inhibit cytochrome P450 2D6 may require lower doses than usually prescribed for either the tricyclic antidepressant or the other drug. Furthermore, whenever one of these other drugs is withdrawn from co-therapy, an increased dose of tricyclic antidepressant may be required

Question 10

Who makes imipramine?

Accepted Answer

Various FDA-approved generic manufacturers

Question 11

Is imipramine safe in pregnancy?

Accepted Answer

There have been no well-controlled studies conducted with pregnant women to determine the effect of imipramine on the fetus. imipramine should be used in women who are or might become pregnant only if the clinical condition clearly justifies potential risk to the fetus.

Question 12

What is the brand name for imipramine?

Accepted Answer

TOFRANIL

Question 13

How can NowPatient help me to lower the cost of my imipramine prescription?

Accepted Answer

After you create a FREE account with NowPatient, you will have access to 4 programs that can help lower the cost of your imipramine prescription

Applicability to each program will be dependent on your insurance status.

Question 14

How do the NowPatient imipramine savings programs work?

Accepted Answer

After you have created your FREE account with NowPatient, you can access the various programs from your account dashboard. Each program has clear instructions on how to check your eligibility. You can see how the process works by clicking on the feature link below and seeing the ‘How it works’ steps.

Drug Coupon and Patient Assistance Programs require an eligibility quiz to be completed.

Question 15

Are the NowPatient imipramine savings programs suitable for everyone, regardless of insurance status?

Accepted Answer

No. Each program has its own eligibility and applicability requirements. The table below shows if a program is available to you, based on your insurance status.

	Rx Advantage Card* for imipramine	Canadian Prescription Savings* for imipramine	imipramine Drug Coupon*	imipramine Patient Assistance Program*
Insured (federal, state or government)	Available	Available	Not Available	Available If Offered by Pharmaceutical Company
Insured (Commercial or Private)	Available	Available	Available If Offered by Pharmaceutical Company	Available If Offered by Pharmaceutical Company
Uninsured	Available	Available	Not Available	Available If Offered by Pharmaceutical Company
Insured but without pharmacy benefit or drug coverage	Available	Available	Not Available	Available If Offered by Pharmaceutical Company

*This is not insurance.

Question 16

Are the NowPatient drug savings programs suitable for brand and generic versions of imipramine?

Accepted Answer

No. Each program has applicability requirements. Please see below

	Rx Advantage Card* for imipramine	Canadian Prescription Savings* for imipramine	imipramine Drug Coupon*	imipramine Patient Assistance Program*
Brand	Yes	Yes	Yes, If Offered by Pharmaceutical Company	Yes, If Offered by Pharmaceutical Company
Generic	Yes	Yes	No	No

*This is not insurance.

Question 17

If you have Medicare Part D or Medicare Advantage and none of the imipramine savings options are applicable or affordable for me, what can you do?

Accepted Answer

If you are insured with Medicare and the imipramine drug savings options are not applicable to you and still remain unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

The government site is easy to use and after you have selected your state, it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

People who qualify for both Medicare and Medicaid are called ‘dual eligibles’.

If you are denied Medicaid for imipramine, and you are still unable to afford your copay or co-insurance element (for example if you are in the coverage gap or Donut Hole) then you may be eligible for a federal support program like Low Income Subsidy. To be eligible for Low Income Subsidy, you need to be a resident in one of the 50 States or the District of Columbia. You can check eligibility online at SSA Medicare D Extra Help. You can also call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).

Question 18

I am uninsured or underinsured and none of the imipramine prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If you are uninsured or underinsured (for example, imipramine is not covered by your plan) and the drug savings options are not applicable or still unaffordable, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. State Medicaid programs may cover the full cost of your medication.

If you are denied and all else fails, and if you have been prescribed imipramine for an FDA-approved indication, you can call the pharmaceutical company to see if they have any other assistance programs.

Question 19

I am commercially or privately insured and none of the imipramine prescription saving options are applicable or affordable for me, what can I do?

Accepted Answer

If your medication is not covered by your plan, you can appeal your insurance company’s decision. Sometimes, a formal appeal can result in the drug being covered if it is deemed medically necessary.

If you cannot afford your copay contribution, then you can check Medicaid eligibility in your state by following the instructions at HealthCare.gov.

However, being privately insured might complicate your eligibility for Medicaid, as having private insurance may be considered in the financial eligibility assessment.

The government site is easy to use and you can select your state and it will navigate you to the appropriate contact point to make the application. If you qualify, state Medicaid may cover the full cost of your medication.

Question 20

If I have federal, state or commercial insurance and none of the imipramine prescription saving options are applicable or affordable for me, are there any other support organisations that can help me with my co-insurance or copay contributions?

Accepted Answer

If you have already tried Medicaid and received a denial letter or if you are insured with Medicare and have been denied Low-Income Subsidy, then you can try one of the following organizational support programs:

1. Patient Access Network Foundation (PAN) assistance for imipramine

If you are having trouble paying for your imipramine medication due to unaffordable copays or deductibles, the Patient Access Network Foundation (PAN), may be able to assist you. To qualify for PAN assistance for imipramine you will need to meet one or all of the following criteria:

Your income is below 400% of the federal poverty level
imipramine is prescribed for an approved FDA indication
You live in and receive treatment in the United States or U.S. territories, even if you do not have U.S. citizenship
You have Medicare insurance coverage that covers imipramine
If imipramine is listed on PAN’s list of covered medications

You can check the Patient Access Network Foundation Website for more information.

2. HealthWell Foundation Copay Program for imipramine

If you are having trouble paying for your imipramine medication due to unaffordable copays or deductibles, the HealthWell Foundation Copay Program may be able to assist you. To qualify for assistance for imipramine you will need to meet the following criteria:

You live in and are being treated in the United States
You are insured and your plan covers imipramine
If imipramine is listed on the HealthWell Foundation’s list of covered medications

You can check the HealthWell Foundation Website for more information.

3. Patient Advocate Foundation Co-Pay Relief Program for imipramine

Patient Advocate Foundation’s Co-Pay Relief program exists to help reduce the financial distress you or your family may face when paying for your imipramine treatment. If you qualify and can demonstrate the need, the foundation will provide you with direct payment covering co-pays, co-insurance, and deductibles. To qualify for assistance for imipramine you will need to meet the following criteria:

You must be currently insured and have coverage for imipramine
You must have a confirmed diagnosis and treatment plan
You must reside and receive treatment in the United States
Your Income must fall at or below 300% or 400% of the Federal Poverty Guideline (FPG) with consideration for the Cost of Living Index (COLI) and number in the household
Applications can also be completed by contacting the program sponsor, toll-free at 866-512-3861.

You can check the Patient Advocate Foundation Website for more information.